PMID: 7540503Jan 1, 1995Paper

Internal mammary artery embolization for hepatic tumors

Cardiovascular and Interventional Radiology
S E Macaulay, D M Coldwell

Abstract

To prospectively identify patients with collateral internal mammary artery (IMA) supply to hepatic tumors, and to embolize the IMA as part of palliative hepatic artery embolization (HAE). Over a 4-year period, 222 patients were enrolled in an HAE protocol for inoperable liver tumors. All underwent abdominal computed tomography (CT) prior to preembolization diagnostic hepatic arteriography. When anterior subcapsular hepatic tumor was seen on the CT scan, patients underwent IMA arteriography as well. All arteries supplying tumor were embolized. Six patients had anterior subcapsular lesions identified on CT. IMA catheterization revealed that these lesions drew blood supply directly or indirectly from one or both IMAs in all six patients. All IMAs were embolized. When an hepatic tumor is identified in an anterior subcapsular location prior to HAE, the IMA should be examined and, if significant tumor supply is demonstrated, these branches should be embolized.

References

Jun 1, 1990·Cardiovascular and Interventional Radiology·S WallaceC Gianturco
Jul 1, 1988·Acta Radiologica·G DupratC H Carrasco
Mar 1, 1985·Acta Radiologica: Diagnosis·K Jonsson, S Karlsson
Aug 1, 1982·Radiology·C CharnsangavejT Bowers
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Citations

Apr 12, 2003·Journal of Vascular and Interventional Radiology : JVIR·Sung Il ParkJong Tae Lee
Dec 10, 1999·Journal of Vascular and Interventional Radiology : JVIR·R AroraZ J Haskal
Nov 12, 2014·European Journal of Endocrinology·Thierry de BaereEric Baudin
May 12, 2012·Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes·Mudit GuptaRashmi Gupta

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